Deficiency Records for Libby Care Center
Updated as of November 01, 2021
This is not the most recent data for Libby Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Libby Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-03 | 2019-11-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-03 | 2019-11-13 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-03 | 2019-11-13 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2019-10-03 | 2019-11-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-10-07 | 2019-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-23 | 2018-10-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-23 | 2018-10-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-23 | 2018-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-23 | 2018-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-23 | 2018-10-03 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-08-23 | 2018-10-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-08-23 | 2018-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-10-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-23 | 2018-10-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-22 | 2018-09-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-15 | 2017-08-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-15 | 2017-07-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-06-15 | 2017-07-27 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-15 | 2017-07-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-15 | 2017-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-15 | 2017-07-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-15 | 2017-07-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-15 | 2017-07-19 | N |
